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NPI Code Detail

MEDICARE: RX MOOSE INC

MEDICARE: RX MOOSE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyAR18118AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21995380OTHERPK

General Provider Information

NPI Number : 1396750998
Entity Type Code : Organization
Provider Name (Legal Business Name) : RX MOOSE INC
Provider Business Mailing Address
First Line : 8201 CANTRELL RD STE 140
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-2346
Country : US
Telephone Number : 501-664-4444
Fax Number : 501-664-7098
Provider Business Practice Location Address
First Line : 8201 CANTRELL RD STE 140
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-2346
Country : US
Telephone Number : 501-664-4444
Fax Number : 501-664-7098
Authorized Official
Title or Position : OWNER
Name : ADAM WHEELER
Credential : PHARMD
Telephone Number : 501-664-4444
Provider Enumeration Date : 07/30/2006
Last Update Date : 03/05/2026

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8201 CANTRELL RD STE 140
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Directions to “RX MOOSE INC ” Practice Location

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